Individual
GRACE CASTILLO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
403 PITTSBURG AVE, ODESSA, TX 79761-5224
(432) 332-3400
(432) 332-6500
Mailing address
3300 BOOKINS AVE, ODESSA, TX 79764-1417
(432) 638-8107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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